Kelsey E. Tiernon, MA
Counselor, Mental Health in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1952828014
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1952828014
- Entity type
- Individual (NPI-1)
- Name
- Kelsey E. Tiernon
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2017
- Certification date
- Feb 5, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3478 Stellhorn RdFort Wayne, IN 46815-4630
Phone 260-452-5336 · Fax 260-387-5075
Mailing address
1817 Beineke RdFort Wayne, IN 46808-1627
Phone 260-310-3266
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